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Toronto Hair Transplant Surgeons

 Comparing ARTAS and Dr. Alexander FUE Technique: What’s the Difference?

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The hair transplantation field is continuously evolving with various new technologies, techniques and procedures that can be applied for hair transplants. In this interesting discussion, we have compared our Dr Huber and Dr Jones’ FUE technique with the ARTAS FUE robotic hair transplantation technique.

ARTAS vs. THTS’s FUE Technique – An interesting comparison

 ARTAS FUE Robotic Hair TransplantationThe hair transplantation field is continuously evolving, with various new technologies, techniques and procedures that can be applied for hair transplants. In this interesting discussion, we have compared the FUE technique both our doctors use with the ARTAS FUE robotic hair transplantation technique. FUE is one of the newer hair transplant procedures wherein hair follicles are removed from the donor’s scalp and harvested in the scalp areas where hair growth has stopped or where hair loss is significant. The ARTAS FUE robotic hair transplantation technique is an advanced and evolved version of the FUE procedure, which is meant to provide equal accuracy (as compared to a surgeon) while the grafts are being harvested during the transplantation process.

ARTAS System History

Restoration Robotics is a company founded by Dr. Frederick H. Moll, who developed the ARTAS System. This completely automated machine is the first robot designed to carry out the scoring aspect of the FUE hair transplant procedure.

ARTAS System: The Mechanism Explained

The robotic arm of ARTAS consists of cameras, colour identification sensors and 3-D imaging software that guide the robotic arm in selecting the follicles that need to be scored. ARTAS consists of the following components that have been designed to carry out the FUE process:

  • A needle punch mechanism
  • Disposable dermal punches
  • Disposable cartridges
  • A video imaging system
  • A user interface

The Transplant Procedure

FUE-Technique The patient is positioned for the robot to punch out the grafts on a donor area of roughly 5 to 10 cm at a time. During this time, the patient must remain absolutely still as the head is restrained by straps. After this, the surgeon removes each graft by hand with a pair of forceps. The patient is then repositioned for ARTAS to work on a new section of donor hair. This process continues until the extraction portion of surgery is complete. The implantation of grafts to the bald area is done using a traditional transplant approach.

Pros and Cons of ARTAS

Pros of ARTAS

  • The speed of the extraction process is significantly improved with the procedure over inexperienced and untrained surgeons. This allows for providers who do not have a lot of experience doing the FUE procedure manually to offer the service.

Cons of ARTAS in comparison with the Toronto Hair Transplant Surgeons’s FUE Technique

  • ARTAS tries to replicate the touch of a human expert to the procedure.
  • ARTAS charges for all the grafts, including those used and destroyed during the procedure, whereas Dr Huber and Dr Jones only plant and charges for viable grafts.
  • Dr Huber and Dr Jones extract more grafts per hour, compared to the robot (= the transection rate is higher).
  • The robot has limitations in the perfect selection of grafts as compared to Dr Huber or Dr Jones, who can pick and choose varying size grafts, depending on the patient’s needs.
  • The ARTAS system requires the patient to shave his or her head prior to the procedure, while Dr Huber and Dr Jones can perform the FUE Procedure with partial and sometimes no shaving of the head.

At this point, both Dr Huber and Dr Jones feel the only advantage of the ARTAS Robot for an experienced FUE surgeon is a marketing one. It is slower, with higher transection rate, more expensive and less choice when choosing the areas to extract grafts from for the patient.

** Blog post originally posted August 23, 2019 – Updated June 9, 2020.